Korean J Obstet Gynecol.  2011 Aug;54(8):454-458. 10.5468/KJOG.2011.54.8.454.

Efficacy and safety of uterosacral ligament vaginal vault suspension and levator myorrhaphy for pelvic organ prolapse

• Park HY
• Yoo EH
• Lee SK

• KMID: 2274066
• DOI: http://doi.org/10.5468/KJOG.2011.54.8.454

Abstract

OBJECTIVE
To evaluate the efficacy in the anatomical and functional outcome and the safety of uterosacral vaginal vault suspension and levator myorrhaphy surgery performed during vaginal hysterectomy for pelvic organ prolapse.
METHODS
A retrospective analysis was performed on the medical records of twenty-eight patients who underwent uterosacral vaginal vault suspension and levator myorrhaphy with the vaginal hysterectomy for pelvic organ prolapse. Anatomical outcomes based on pelvic organ prolapse quantification (POP-Q) system and urinary, bowel and sexual symptoms from Korean version of short form of pelvic floor distress inventory and pelvic organ prolapse and incontinence sexual questionnaire were assessed pre- and postoperatively. They were followed up for minimum a year. The recurrence was defined as any points of POP-Q system to be stage II or greater.
RESULTS
A significant improvement of prolapse was observed from preoperative stage of III to postoperative stage of 0. The points of Ba, C, Bp were changed from 3.7 +/- 1.5, 2.5 +/- 1.2, -0.1 +/- 2.5 to -2.7 +/- 0.4, -6.2 +/- 0.9, -2.1 +/- 2.3. Intra-operative complications were 2 cases of ureter injury while stitching from uterosacral vaginal vault suspension surgery. Post-operative complications were 2 cases of urinary tract infection, 3 cases of voiding dysfunction and a case of urinary incontinence. No patient required reoperation for recurrent prolapse and urinary incontinence.
CONCLUSION
Based on our operational result, uterosacral vaginal vault suspension and levator myorrhaphy surgery seem to provide safe and effective outcomes.

Keyword

Pelvic organ prolapsed; Reconstructive surgical procedures; Vagina

MeSH Terms

Female
Humans
Hysterectomy, Vaginal
Ligaments
Medical Records
Pelvic Floor
Pelvic Organ Prolapse
Prolapse
Surveys and Questionnaire
Reconstructive Surgical Procedures
Recurrence
Reoperation
Retrospective Studies
Ureter
Urinary Incontinence
Urinary Tract Infections
Vagina

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